Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.80 / $2,660.00 / $7,521.00	Facility		$573.80	$2,660.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.94 / $531.59 / $1,105.84	Professional		$444.94	$531.59	$1,105.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.78 / $518.66 / $1,209.54	Professional		$396.78	$518.66	$1,209.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $685.40 / $1,254.00 / $4,050.00	Facility		$685.40	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $685.40 / $685.40 / $734.10	Professional		$685.40	$685.40	$734.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $834.70 / $834.70 / $834.70	Facility		$834.70	$834.70	$834.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.23 / $746.04 / $1,870.19	Professional		$502.23	$746.04	$1,870.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $537.57 / $1,328.60	Facility		$332.00	$537.57	$1,328.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $632.64 / $837.90 / $1,218.29	Professional		$632.64	$837.90	$1,218.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.75 / $498.75 / $498.75	Facility		$498.75	$498.75	$498.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $635.46 / $1,120.98	Professional		$399.00	$635.46	$1,120.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $834.70	Facility		$555.00	$597.00	$834.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $515.34 / $757.07 / $1,809.17	Professional		$515.34	$757.07	$1,809.17
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.44 / $656.41 / $1,657.02	Professional		$454.44	$656.41	$1,657.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $594.00 / $2,046.32	Facility		$594.00	$594.00	$2,046.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $695.05 / $1,255.63	Professional		$399.00	$695.05	$1,255.63